|
NEEDLE MONO 410 25G 401031
|
Facility
|
IP
|
$80.85
|
|
| Hospital Charge Code |
270605537
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.13 |
| Max. Negotiated Rate |
$12.13 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.13
|
|
|
NEEDLE MONO 410 25G 401031
|
Facility
|
OP
|
$80.85
|
|
| Hospital Charge Code |
270605537
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.95 |
| Max. Negotiated Rate |
$40.42 |
| Rate for Payer: Aetna Commercial |
$30.72
|
| Rate for Payer: Aetna Medicare Advantage |
$24.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$20.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$20.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$20.62
|
| Rate for Payer: Cigna Commercial |
$40.42
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$24.25
|
| Rate for Payer: Oxford Commercial |
$16.17
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.13
|
| Rate for Payer: UnitedHealthcare Commercial |
$16.17
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.95
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.14
|
|
|
NEEDLE MULTIFIRE SCORPIAN
|
Facility
|
IP
|
$850.00
|
|
| Hospital Charge Code |
270664265
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$127.50 |
| Max. Negotiated Rate |
$127.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.50
|
|
|
NEEDLE MULTIFIRE SCORPIAN
|
Facility
|
OP
|
$850.00
|
|
| Hospital Charge Code |
270664265
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.48 |
| Max. Negotiated Rate |
$425.00 |
| Rate for Payer: Aetna Commercial |
$323.00
|
| Rate for Payer: Aetna Medicare Advantage |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$216.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$216.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$216.75
|
| Rate for Payer: Cigna Commercial |
$425.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$255.00
|
| Rate for Payer: Oxford Commercial |
$170.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$170.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$20.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$22.52
|
|
|
NEEDLE NEONAT LMBR PNCT 25G 1
|
Facility
|
IP
|
$26.45
|
|
| Hospital Charge Code |
270600491
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.97 |
| Max. Negotiated Rate |
$3.97 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.97
|
|
|
NEEDLE NEONAT LMBR PNCT 25G 1
|
Facility
|
OP
|
$26.45
|
|
| Hospital Charge Code |
270600491
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.64 |
| Max. Negotiated Rate |
$13.22 |
| Rate for Payer: Aetna Commercial |
$10.05
|
| Rate for Payer: Aetna Medicare Advantage |
$7.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.74
|
| Rate for Payer: Cigna Commercial |
$13.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.93
|
| Rate for Payer: Oxford Commercial |
$5.29
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.97
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.29
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.64
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.70
|
|
|
NEEDLE NEURO-TRACE 23G 1-1/2
|
Facility
|
OP
|
$51.65
|
|
| Hospital Charge Code |
270625637
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.24 |
| Max. Negotiated Rate |
$25.82 |
| Rate for Payer: Aetna Commercial |
$19.63
|
| Rate for Payer: Aetna Medicare Advantage |
$15.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.17
|
| Rate for Payer: Cigna Commercial |
$25.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.49
|
| Rate for Payer: Oxford Commercial |
$10.33
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$10.33
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.24
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.37
|
|
|
NEEDLE NEURO-TRACE 23G 1-1/2
|
Facility
|
IP
|
$51.65
|
|
| Hospital Charge Code |
270625637
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.75 |
| Max. Negotiated Rate |
$7.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.75
|
|
|
NEEDLE NVM5 SSEP
|
Facility
|
OP
|
$5,500.00
|
|
| Hospital Charge Code |
270693099
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$132.55 |
| Max. Negotiated Rate |
$2,750.00 |
| Rate for Payer: Aetna Commercial |
$2,090.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,650.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,402.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,402.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,402.50
|
| Rate for Payer: Cigna Commercial |
$2,750.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,650.00
|
| Rate for Payer: Oxford Commercial |
$1,100.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$825.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,100.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$132.55
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$145.75
|
|
|
NEEDLE NVM5 SSEP
|
Facility
|
IP
|
$5,500.00
|
|
| Hospital Charge Code |
270693099
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$825.00 |
| Max. Negotiated Rate |
$825.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$825.00
|
|
|
NEEDLE PERCUGUIDE 20G X 7.5 CM
|
Facility
|
OP
|
$120.00
|
|
| Hospital Charge Code |
270331271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.89 |
| Max. Negotiated Rate |
$60.00 |
| Rate for Payer: Aetna Commercial |
$45.60
|
| Rate for Payer: Aetna Medicare Advantage |
$36.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$30.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$30.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$30.60
|
| Rate for Payer: Cigna Commercial |
$60.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$36.00
|
| Rate for Payer: Oxford Commercial |
$24.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$24.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.89
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.18
|
|
|
NEEDLE PERCUGUIDE 20G X 7.5 CM
|
Facility
|
IP
|
$120.00
|
|
| Hospital Charge Code |
270331271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$18.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.00
|
|
|
NEEDLE PERCUTANEOUS ENTRY 7.0
|
Facility
|
IP
|
$16.80
|
|
| Hospital Charge Code |
270600701
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.52 |
| Max. Negotiated Rate |
$2.52 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.52
|
|
|
NEEDLE PERCUTANEOUS ENTRY 7.0
|
Facility
|
OP
|
$16.80
|
|
| Hospital Charge Code |
270600701
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.40 |
| Max. Negotiated Rate |
$8.40 |
| Rate for Payer: Aetna Commercial |
$6.38
|
| Rate for Payer: Aetna Medicare Advantage |
$5.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.28
|
| Rate for Payer: Cigna Commercial |
$8.40
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.04
|
| Rate for Payer: Oxford Commercial |
$3.36
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.52
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.36
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.40
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.45
|
|
|
NEEDLE PERCUTANEOUS ENTRY 9.0
|
Facility
|
OP
|
$16.45
|
|
| Hospital Charge Code |
270626674
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.40 |
| Max. Negotiated Rate |
$8.22 |
| Rate for Payer: Aetna Commercial |
$6.25
|
| Rate for Payer: Aetna Medicare Advantage |
$4.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.19
|
| Rate for Payer: Cigna Commercial |
$8.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.93
|
| Rate for Payer: Oxford Commercial |
$3.29
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.47
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.29
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.40
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.44
|
|
|
NEEDLE PERCUTANEOUS ENTRY 9.0
|
Facility
|
IP
|
$16.45
|
|
| Hospital Charge Code |
270626674
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.47 |
| Max. Negotiated Rate |
$2.47 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.47
|
|
|
Needle Pleuristik, Nano Fract
|
Facility
|
OP
|
$12,500.00
|
|
| Hospital Charge Code |
270665968
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$301.25 |
| Max. Negotiated Rate |
$6,250.00 |
| Rate for Payer: Aetna Commercial |
$4,750.00
|
| Rate for Payer: Aetna Medicare Advantage |
$3,750.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,187.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,187.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,187.50
|
| Rate for Payer: Cigna Commercial |
$6,250.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,750.00
|
| Rate for Payer: Oxford Commercial |
$2,500.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,875.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,500.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$301.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$331.25
|
|
|
Needle Pleuristik, Nano Fract
|
Facility
|
IP
|
$12,500.00
|
|
| Hospital Charge Code |
270665968
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,875.00 |
| Max. Negotiated Rate |
$1,875.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,875.00
|
|
|
NEEDLE PORT-CATH *******
|
Facility
|
IP
|
$24.00
|
|
| Hospital Charge Code |
8002719
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$3.60 |
| Max. Negotiated Rate |
$3.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.60
|
|
|
NEEDLE PORT-CATH *******
|
Facility
|
OP
|
$24.00
|
|
| Hospital Charge Code |
8002719
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$0.58 |
| Max. Negotiated Rate |
$12.00 |
| Rate for Payer: Aetna Commercial |
$9.12
|
| Rate for Payer: Aetna Medicare Advantage |
$7.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.12
|
| Rate for Payer: Cigna Commercial |
$12.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.20
|
| Rate for Payer: Oxford Commercial |
$4.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.58
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.64
|
|
|
NEEDLE PORTCATH 19G 1-25
|
Facility
|
IP
|
$26.45
|
|
| Hospital Charge Code |
270606362
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.97 |
| Max. Negotiated Rate |
$3.97 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.97
|
|
|
NEEDLE PORTCATH 19G 1-25
|
Facility
|
OP
|
$26.45
|
|
| Hospital Charge Code |
270606362
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.64 |
| Max. Negotiated Rate |
$13.22 |
| Rate for Payer: Aetna Commercial |
$10.05
|
| Rate for Payer: Aetna Medicare Advantage |
$7.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.74
|
| Rate for Payer: Cigna Commercial |
$13.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.93
|
| Rate for Payer: Oxford Commercial |
$5.29
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.97
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.29
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.64
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.70
|
|
|
NEEDLE POWERLOC MAX 19GA 1 IN
|
Facility
|
IP
|
$93.46
|
|
| Hospital Charge Code |
270682856
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.02 |
| Max. Negotiated Rate |
$14.02 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.02
|
|
|
NEEDLE POWERLOC MAX 19GA 1 IN
|
Facility
|
OP
|
$93.46
|
|
| Hospital Charge Code |
270682856
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.25 |
| Max. Negotiated Rate |
$46.73 |
| Rate for Payer: Aetna Commercial |
$35.51
|
| Rate for Payer: Aetna Medicare Advantage |
$28.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.83
|
| Rate for Payer: Cigna Commercial |
$46.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$28.04
|
| Rate for Payer: Oxford Commercial |
$18.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.02
|
| Rate for Payer: UnitedHealthcare Commercial |
$18.69
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.48
|
|
|
NEEDLE PRECISION EPIMED 14G
|
Facility
|
OP
|
$375.00
|
|
| Hospital Charge Code |
270679697
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.04 |
| Max. Negotiated Rate |
$187.50 |
| Rate for Payer: Aetna Commercial |
$142.50
|
| Rate for Payer: Aetna Medicare Advantage |
$112.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$95.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$95.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$95.62
|
| Rate for Payer: Cigna Commercial |
$187.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$112.50
|
| Rate for Payer: Oxford Commercial |
$75.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$75.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.04
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.94
|
|